Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. RICHARD KENNETH PETERSON
Active
Individual
MR. RICHARD KENNETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0067446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080119192
MEDICARE RAILROAD
FL
01
—
148899
HEALTHEASE
FL
01
—
26755
BCBS
FL
05
—
379680900
—
FL
01
—
4653879
AETNA
FL
01
—
5562171-001
CIGNA
FL
Enumeration date
08/22/2005
Last updated
11/11/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up